Hospitals

Caroline Voaden Excerpts

Wednesday 23rd April 2025 Commons Chamber

[Steve Darling (Torbay) (LD)]

Torbay hospital is very much a family affair for me. My wife has worked there for more years than she would let me admit in this Chamber and my son is now a registrar there, so I thought I knew the hospital quite well until I was elected, and then the chief executive of Torbay and South Devon NHS foundation trust opened the Pandora’s box of pain and challenges that the hospital faces. That made me really angry at how the previous Conservative Government failed to invest in the desperate needs of our NHS, both in Torbay and across the country.

So it was with hope in my heart that I came to this Chamber in July, hoping that over the next few months Labour would be part of the solution. It is extremely sad and disappointing that Torbay feels as if it has been kicked into the long grass. We know that this means that there will be a failure in serving our communities. We are expecting outstanding staff to deliver services in poor conditions, and Torbay is one of the most deprived communities in the south-west, so we are letting down some of the poorest in our communities.

I want to share some of the contents of this Pandora’s box with the Chamber. On visiting the hospital, there is a vista of hope, as there is scaffolding around the main tower, but it is actually there to stop pieces of the tower falling on NHS workers and visitors to the hospital, rather than because repairs are under way. There are almost 700 sewage leaks across the hospital, many impacting on clinical areas. Whole wards have been shut down and had deep cleans due to these sewage leaks within Torbay hospital. Only 6% of the hospital is of A1 standard—that shows starkly how poor the situation is.

We face immediate pressures in Torbay. There are cuts to out-of-hours coronary care services that could put those in Torbay and nearby constituencies such as South Devon at risk of tissue death because there are not fast enough interventions for coronary conditions.

[Caroline Voaden (South Devon) (LD)]

I represent that neighbouring constituency, and those in the largely rural area of South Devon will be severely threatened by the closure of out-of-hours coronary care in Torbay because somebody decided it would be a good idea to merge it with coronary care in Exeter, meaning a potential increase of up to 45 minutes in ambulance times for constituents from the south of my constituency to get to hospital. It is clearly going to put people in critical danger, and I am sure my hon. Friend would agree that we desperately need the integrated care board to reconsider this poorly thought-out decision.

[Steve Darling]

I strongly agree with my hon. Friend that this wrong-headed approach needs urgent review.

In Paignton, there are threats to the long-term delivery of ambulance services, which would add delays to communities getting support. Perhaps the biggest threat is a financial one. Down in Plymouth, £60 million of cuts to health service budgets were announced in the last few days. In Torbay, the hospital admitted that it is looking at £40 million of cuts to NHS services. With £100 million of cuts and the pressures on our services in south Devon, will the Minister tell us where that money has gone and how she will intervene and support our services, because our hospitals in Torbay are crumbling?

--- Later in debate ---

[Caroline Voaden (South Devon) (LD)]

I am going to change the tone of the debate a little bit from the hon. Member for Watford (Matt Turmaine) and welcome the Minister’s comments about a strategy for hospital building that is based in reality and not on a fantasy programme that had no funding behind it. It is also good to hear that capital funding will be ringfenced.

When Labour came into office, it promised to end sticking-plaster politics, but that seems to be exactly what it is offering to Torbay hospital: a small sticking plaster to hold together a gaping wound. Torbay hospital serves a critical role for my largely rural constituency of South Devon and faces immense pressure every single day. Nearly all of the hospital estate is currently unfit for purpose, yet under the Government’s timeline, construction on a rebuild is not due to begin until 2032. That means seven more years of staff working in outdated, inadequate conditions and patients receiving care in a facility that no longer meets the basic standards expected of a modern health service.

The case for urgent and sustained investment could not be clearer. The total cost of eradicating the maintenance backlog at Torbay hospital now stands at £53.6 million—small beer compared with some colleagues’ constituencies. Of that, £4.6 million is needed to address high-risk issues, which are those, in the NHS’s own terms, that pose a direct threat to the safety of patients or the day-to-day functioning of the hospital. Nearly £1 in every £10 needed for repairs is to fix problems that are considered an urgent threat to health and safety. That is simply unacceptable in any modern healthcare system.

Last year, the ear, nose and throat department was forced to cancel a full week of out-patient care after a sewage leak. The main tower of the hospital is literally being held together by scaffolding, which costs £1 million a week. Operating theatres lack adequate temperature control, and the pathology department, which plays a critical role in cancer diagnosis and other urgent care, is operating out of a rotting portacabin with holes in the walls. That temporary accommodation has been in place for more than 40 years. This hospital is operating at 98% capacity—far above safe levels. It is running at full tilt every day under conditions that make effective, safe care more and more difficult to provide. I have to give a huge shout-out to the incredible staff at Torbay hospital who keep that place going. The situation is not sustainable and nor should it be acceptable.

The current Government’s decision to delay urgent repairs is not just a poor decision, but a false economy. We are spending so much money shoring up a hospital, when fixing it would cost less than holding it together with scaffolding. Keeping hospitals such as Torbay going with temporary fixes and emergency maintenance is far more expensive in the long term than investing in the proper infrastructure now. We need the Government to find innovative ways to finance critical repairs. Patients and staff in Torbay and across the country deserve better than another decade of waiting.